Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.02 / $1,072.41 / $1,360.00	Professional		$794.02	$1,072.41	$1,360.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.41 / $1,756.68 / $2,618.48	Professional		$1,024.41	$1,756.68	$2,618.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.07 / $1,178.07 / $1,178.07	Facility		$1,178.07	$1,178.07	$1,178.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.47 / $1,870.00 / $3,068.05	Professional		$1,338.47	$1,870.00	$3,068.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,172.74 / $1,844.95 / $3,619.66	Professional		$1,172.74	$1,844.95	$3,619.66
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.51 / $1,537.73 / $2,967.12	Professional		$1,178.51	$1,537.73	$2,967.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $818.94 / $900.83 / $1,146.52	Professional		$818.94	$900.83	$1,146.52